CTO (Chronic total occlusion)

Find all the latest content on chronic total occlusion (CTO) published on this website.

Recently we have seen an increase in successful percutaneous coronary interventions (PCI) of CTO in part due to improvements in hardware (guidewires and balloons), the introduction of dedicated devices (microcatheters, channel dilators, dissection-reentry devices) and the elaboration of CTO-specific techniques. To fully grasp CTO today, here you will find here everything that you need to know including the latest devices and techniques as well as advances in imaging, the use of adjunctive pharmacotherapy, vascular access or understanding bleeding risks…

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CTO

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Complex and challenging cases II

19 Dec 2019 – From GulfPCR-GIM 2019

Consult this session to discover how to safely manage difficult complications, thanks to a selection of complex clinical cases: ascending aortic dissection, balloon rupture, retrograde PCI on CTO of ostial right coronary artery, and more!

Complex and challenging cases II

How should I treat a chronic total occlusion of the LAD when the conventional hybrid approach fails?

18 Dec 2019

A 54-year-old male was admitted with an inferior ST-segment elevation myocardial infarction. Coronary angiography (CAG) showed a thrombotic occlusion of the RCA and a total chronic occlusion (CTO) of the LAD and PCI on the RCA was performed.

Author

Lars Jakobsen

Author

Evald Christiansen
How should I treat a CTO of the LAD when the conventional hybrid approach fails?

Interactive Case Corner 5 - Coronary CTO & ACS NSTEMI

18 Dec 2019 – From GulfPCR-GIM 2019

Consult this session to discover two clinical cases on coronary CTO and ACS NSTEMI, and learn how to reduce radiation exposure to the patient during the procedure.

Interactive Case Corner 5 - Coronary CTO & ACS NSTEMI

Case study: the sum of all fears in CTO PCI

20 Oct 2019

Consult this case study by I. Cigalini on how to manage LAD type III perforation with persistant leak: a 78-year-old female with hypertension.

Ignacio Manuel Cigalini

Author

Ignacio Cigalini
The sum of all fears in CTO PCI

2nd edition of the Percutaneous Cardiac Interventions Textbook

09 Oct 2019

Editors M. Sabaté and S. Brugaletta share how the additional live cases, videos and media content provide crystal clear tips and tricks on new procedures.

2nd edition of the Tips and Tricks of new techniques beyond stenting

Chronic total occlusion (CTO) track at EuroPCR 2019

Heinz Joachim Büttner (Germany) shares his experience as a chronic total occlusion (CTO) operator with Francesco Della Rosa (Italy) as they discuss why there has been so much focus on chronic total occlusion interventions at EuroPCR 2019. After reviewing the various sessions, Dr Büttner explains the...

CTO Track

Percutaneous recanalisation of chronic total occlusions: 2019 consensus document from the EuroCTO Club

18 Jul 2019

Read this new document reflecting the expertise of European operators to promote CTO PCI in Europe and neighbouring communities

Authors :

A. R. Galassi, G. S. Werner, M. Boukhris, L. Azzalini, K. Mashayekhi, M. Carlino, A. Avran, N. V. Konstantinidis, L. Grancini, L. Bryniarski, R. Garbo , N. Bozinovic , A. H. Gershlick, S. Rathore, C. Di Mario, Y. Louvard, N. Reifart, G. Sianos, on behalf of the EuroCTO Club
EuroIntervention - Percutaneous recanalisation of chronic total occlusions: 2019 consensus document from the EuroCTO Club

Complications - Trapped filter, stent dislodgement, intramural hematoma

06 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session to learn more about various complications, such as trapped filter, stent dislodgement, and intramural hematoma, and discover how to efficiently manage them.

Complications - Trapped filter, stent dislodgement, intramural hematoma

Complex PCI - CTO with difficult collaterals & post-PCI ACS

06 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session to learn more about how to proceed with right coronary artery-P-M CTO with difficult collaterals, and how to use IVUS to gain insights on a post-PCI acute coronary syndrome.

Complex PCI - CTO with difficult collaterals & post-PCI ACS

Challenging cases

05 Jul 2019 – From AICT-AsiaPCR 2019

Consult this session to discover a selection of compelling cases, such as a distal left main stenosis in adolescent boy, a case of PCI with essential thrombocythemia, an ostial right coronary artery in-stent CTO, and more!

Challenging cases